Joseph R. Fahey, MD

General Practice Physician · Eglin Afb, FL

Individual Active NPI

NPI number 1194513788

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302
Phone
(850) 883-8655

Open in Google Maps

NPI record

NPI
1194513788
Entity type
Individual (Type 1)
Enumeration date
April 25, 2025
Last updated
August 21, 2026
Certified
August 21, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X DR.0078404 CO

About Dr. Fahey

Joseph R. Fahey, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302. The NPI number 1194513788 was assigned on April 25, 2025 and the record was last updated on August 21, 2026.

Dr. Fahey lists a license in the registry: #DR.0078404 (CO) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joseph R. Fahey, MD?

The NPI number is 1194513788.

What is the phone number of Dr. Fahey?

The phone number listed for the practice location is (850) 883-8655.

Where is Dr. Fahey located?

307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302.

What is the taxonomy code for Dr. Fahey?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Physician providers in Eglin Afb

All General Practice Physician providers in Eglin Afb, FL →